MEDICARE: DR. JOSE M UGARTE I MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E3134	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457333882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE M UGARTE I MD

Provider Business Mailing Address
First Line	:	1311 E GENERAL CAVAZOS BLVD STE L
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-7129
Country	:	US
Telephone Number	:	361-221-1087
Fax Number	:	361-488-5030

Provider Business Practice Location Address
First Line	:	1311 E GENERAL CAVAZOS BLVD STE L
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-7129
Country	:	US
Telephone Number	:	361-221-1087
Fax Number	:	361-488-5030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	10/17/2024

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